Organization
KIDA ACADEMY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BROOKE LEIGH HOERTZ OTD, OTR/L (EXECUTIVE DIRECTOR)
(949) 222-2214
Entity
Organization
Contact information
Practice address
17861 VON KARMAN AVENUE, IRVINE, CA 92614-6213
(949) 222-2214
(949) 253-7800
Mailing address
17861 VON KARMAN AVENUE, IRVINE, CA 92614-6213
(949) 222-2214
(949) 253-7800
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
6262
CA
Other
Enumeration date
08/22/2008
Last updated
11/29/2018
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